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Rural hospital information technology implementation for safety and quality improvement: lessons learned. | PSNet

psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons

April 24, 2018 - Study Rural hospital information technology implementation for safety and quality improvement: lessons learned. Citation Text: Tietze MF, Williams J, Galimbertti M. Rural hospital information technology implementation for safety and quality improvement: lessons learned. Comput Inform N…

With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. | PSNet

psnet.ahrq.gov/issue/little-help-my-friends-positive-contribution-teamwork-safety-behaviour-public-hospitals

July 22, 2020 - Study With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospitals. Citation Text: Trinchero E, Kominis G, Dudau A, et al. With a little help from my friends: the positive contribution of teamwork to safety behaviour in public hospital…

Consensus building for development of outpatient adverse drug event triggers. | PSNet

psnet.ahrq.gov/issue/consensus-building-development-outpatient-adverse-drug-event-triggers

November 10, 2010 - Study Consensus building for development of outpatient adverse drug event triggers. Citation Text: Mull HJ, Nebeker JR, Shimada SL, et al. Consensus building for development of outpatient adverse drug event triggers. J Patient Saf. 2011;7(2):66-71. doi:10.1097/PTS.0b013e31820c98ba. C…

Disruptive behaviour in the perioperative setting: a contemporary review. | PSNet

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March 06, 2024 - Review Disruptive behaviour in the perioperative setting: a contemporary review. Citation Text: Villafranca A, Hamlin C, Enns S, et al. Disruptive behaviour in the perioperative setting: a contemporary review. Canadian J Anaesth. 2017;64(2):128-140. doi:10.1007/s12630-016-0784-x. Copy …

Operating room traffic as a modifiable risk factor for surgical site infection. | PSNet

psnet.ahrq.gov/issue/operating-room-traffic-modifiable-risk-factor-surgical-site-infection

April 24, 2018 - Study Operating room traffic as a modifiable risk factor for surgical site infection. Citation Text: Wanta BT, Glasgow AE, Habermann EB, et al. Operating Room Traffic as a Modifiable Risk Factor for Surgical Site Infection. Surg Infect (Larchmt). 2016;17(6):755-760. Copy Citation F…

An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. | PSNet

psnet.ahrq.gov/issue/insurers-care-transition-program-emphasizes-medication-reconciliation-reduces-readmissions

November 08, 2017 - Study An insurer's care transition program emphasizes medication reconciliation, reduces readmissions and costs. Citation Text: Polinski JM, Moore JM, Kyrychenko P, et al. An Insurer's Care Transition Program Emphasizes Medication Reconciliation, Reduces Readmissions And Costs. Health Af…

Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. | PSNet

psnet.ahrq.gov/issue/acceptance-recommendations-inpatient-pharmacy-case-managers-unintended-consequences

November 16, 2022 - Study Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. Citation Text: Anderegg S, Demik DE, Carter BL, et al. Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hosp…

The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. | PSNet

psnet.ahrq.gov/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board

June 03, 2020 - Study The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery. Citation Text: James MA, Seiler JG, Harrast JJ, et al. The occurrence of wrong-site surgery self-reported by candidates for certification by the Americ…

Implementing a patient safety and quality program across two merged pediatric institutions. | PSNet

psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-program-across-two-merged-pediatric-institutions

June 03, 2013 - Study Implementing a patient safety and quality program across two merged pediatric institutions. Citation Text: Abramson EL, Hyman D, Osorio N, et al. Implementing a patient safety and quality program across two merged pediatric institutions. Jt Comm J Qual Patient Saf. 2009;35(1):43-…

Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs. | PSNet

psnet.ahrq.gov/issue/barriers-and-facilitators-taking-action-after-classroom-based-crew-resource-management

July 10, 2013 - Study Barriers and facilitators for taking action after classroom-based crew resource management training at three ICUs. Citation Text: Kemper PE, van Dyck C, Wagner C, et al. Barriers and facilitators for taking action after classroom-based crew resource management training at three ICU…

Improving situation awareness to advance patient outcomes: a systematic literature review. | PSNet

psnet.ahrq.gov/issue/improving-situation-awareness-advance-patient-outcomes-systematic-literature-review

January 16, 2010 - Review Improving situation awareness to advance patient outcomes: a systematic literature review. Citation Text: Alqarrain Y, Roudsari A, Courtney KL, et al. Improving situation awareness to advance patient outcomes: a systematic literature review. Comput Inform Nurs. 2024;42(4):277-288.…

Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet

psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture

November 15, 2018 - Review Reframing the morbidity and mortality conference: the impact of a just culture. Citation Text: Brook K, Agarwala AV, Tewfik GL. Reframing the morbidity and mortality conference: the impact of a just culture. J Patient Saf. 2024;40(4):280-287. doi:10.1097/pts.0000000000001224. Co…

Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. | PSNet

psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model

June 28, 2010 - Commentary Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. Citation Text: Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a mu…

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. | PSNet

psnet.ahrq.gov/issue/anesthesiology-department-leads-culture-change-hospital-system-level-improve-quality-and

March 30, 2011 - Commentary An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety. Citation Text: Fleischut PM, Evans AS, Faggiani SL, et al. An anesthesiology department leads culture change at a hospital system level to improve quality and …

Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. | PSNet

psnet.ahrq.gov/issue/experiences-health-professionals-who-conducted-root-cause-analyses-after-undergoing-safety

June 14, 2011 - Study Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme. Citation Text: Braithwaite J, Westbrook MT, Mallock NA, et al. Experiences of health professionals who conducted root cause analyses after undergoing a safety im…

A paradigm shift to balance safety and quality in pediatric pain management. | PSNet

psnet.ahrq.gov/issue/paradigm-shift-balance-safety-and-quality-pediatric-pain-management

July 01, 2020 - Study A paradigm shift to balance safety and quality in pediatric pain management. Citation Text: Avansino JR, Peters LM, Stockfish SL, et al. A paradigm shift to balance safety and quality in pediatric pain management. Pediatrics. 2013;131(3):e921-7. doi:10.1542/peds.2012-1378. Copy C…

Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. | PSNet

psnet.ahrq.gov/issue/antiretroviral-medication-prescribing-errors-are-common-hospitalization-hiv-infected-patients

September 08, 2016 - Study Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. Citation Text: Commers T, Swindells S, Sayles H, et al. Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. J Antimicrob Chemo…

Long working hours, safety, and health: toward a national research agenda. | PSNet

psnet.ahrq.gov/issue/long-working-hours-safety-and-health-toward-national-research-agenda

November 16, 2022 - Review Long working hours, safety, and health: toward a national research agenda. Citation Text: Caruso CC, Bushnell T, Eggerth D, et al. Long working hours, safety, and health: toward a National Research Agenda. Am J Ind Med. 2006;49(11):930-42. Copy Citation Format: Googl…

Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). | PSNet

psnet.ahrq.gov/issue/medication-reconciliation-comparing-customized-medication-history-form-standard-medication

September 23, 2020 - Study Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). Citation Text: Ryan GJ, Caudle JM, Rhee MK, et al. Medication reconciliation: comparing a customized medication history form to a standard medi…

Lessons learned from implementing a principled approach to resolution following patient harm. | PSNet

psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm

February 12, 2020 - Commentary Lessons learned from implementing a principled approach to resolution following patient harm. Citation Text: Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 201…

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